2023 AOSSM Annual Meeting Recordings with CME-Clinical Outcomes of Combined ACL and Anterolateral Ligament Reconstruction Versus Isolated ACL Reconstruction With Bone-Patellar Tendon-Bone Autograft As The Gold Standard: A Matched-Pair Analysis of 2018 Patients

Clinical Outcomes of Combined ACL and Anterolateral Ligament Reconstruction Versus Isolated ACL Reconstruction With Bone-Patellar Tendon-Bone Autograft As The Gold Standard: A Matched-Pair Analysis of 2018 Patients

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In a study comparing the outcomes of ACL reconstruction surgeries using BTB autografts versus combined reconstructions with hamstring tendons, it was found that isolated BTB reconstructions had a three-fold higher risk of graft failure. The study, conducted between 2003 and 2019, included 1,000 patients in each group, matched for various factors. The combined reconstruction technique involved using gracilis and semitendinosus tendons, forming a four-strand graft that also included an additional length of gracilis for ALL reconstruction. Both groups underwent the same post-operative rehabilitation. The study concluded that combined reconstructions had advantages in terms of graft failure and re-operations for non-graft rupture-related causes.

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Adnan Saithna, MD, FAANA

Keywords

ACL reconstruction surgeries

BTB autografts

hamstring tendons

graft failure

combined reconstructions